Objectives: The aim of this study was to describe the prevalence of malnutrition among adult hospitalised patients in three South African public hospitals and to determine the availability of nutrition-related quality indicators at ward and institutional level.Method: A descriptive, cross-sectional, multi-centre study was used to determine the prevalence of malnutrition, whilst a descriptive exploratory design was used to determine the use of nutrition-related quality indicators for the identification and treatment of malnutrition. A total of 141 adult hospitalised patients in three public hospitals in an urban setting participated.Mid-upper arm circumference (MUAC), body mass index (BMI), and malnutrition universal screening tool (MUST) were used to determine the prevalence of malnutrition or malnutrition risk. A Hospital Nutrition Review Tool (HNRT) determined the use of nutrition-related quality indicators.Results: The overall malnutrition risk according to MUST was 72.3% (48.2% high risk and 24.1% medium risk), whilst 45.4% were malnourished based on MUAC. No routine nutritional screening was conducted in any of the wards to identify patients at nutritional risk. The majority of nurses reported inadequate training or knowledge to calculate patients’ BMI or percentage weight loss, or to perform nutritional screening.Conclusion: Both malnutrition prevalence and malnutrition risk among adult hospitalised patients are high in the public sector.Inadequate resources may lead to delays in malnutrition identification and appropriate nutritional intervention, which may adversely affect both the patient and the institution. This study contributes to baseline data on adult malnutrition in the South African public hospital setting.

Objectives: The aim of this study was to describe the prevalence of malnutrition among adult hospitalised patients in three South African public hospitals and to determine the availability of nutrition-related quality indicators at ward and institutional level.Method: A descriptive, cross-sectional, multi-centre study was used to determine the prevalence of malnutrition, whilst a descriptive exploratory design was used to determine the use of nutrition-related quality indicators for the identification and treatment of malnutrition. A total of 141 adult hospitalised patients in three public hospitals in an urban setting participated.Mid-upper arm circumference (MUAC), body mass index (BMI), and malnutrition universal screening tool (MUST) were used to determine the prevalence of malnutrition or malnutrition risk. A Hospital Nutrition Review Tool (HNRT) determined the use of nutrition-related quality indicators.Results: The overall malnutrition risk according to MUST was 72.3% (48.2% high risk and 24.1% medium risk), whilst 45.4% were malnourished based on MUAC. No routine nutritional screening was conducted in any of the wards to identify patients at nutritional risk. The majority of nurses reported inadequate training or knowledge to calculate patients’ BMI or percentage weight loss, or to perform nutritional screening.Conclusion: Both malnutrition prevalence and malnutrition risk among adult hospitalised patients are high in the public sector.Inadequate resources may lead to delays in malnutrition identification and appropriate nutritional intervention, which may adversely affect both the patient and the institution. This study contributes to baseline data on adult malnutrition in the South African public hospital setting.

Background: Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition, previous studies excluded non-maternal primary caregivers (PCGs). It is unclear whether the association between primary caregiver depression and child malnutrition remains when non-maternal PCGs are included. Aim: The aim of this study was to determine if there is an association between PCG depression and malnutrition in children aged between 6 months and 5 years in Mahalapye, Botswana. Setting: The study was conducted in the child welfare clinics of Xhosa and Airstrip clinics, two primary health care facilities in Mahalapye, Botswana. Methods: This was a case control study. Cases were malnourished children aged between 6 months and 5 years, and controls were non-malnourished children matched for age and gender. The outcome of interest was depression in the PCGs of the cases and controls, which was assessed using the Patient Health Questionnaire 9 (PHQ 9), a depression screening tool.Results: From a sample of 171 children, 84 of whom were malnourished, we found that the malnourished children were significantly more likely to have depressed PCGs (odds ratio = 4.33; 95% CI: 1.89, 9.89) than non-malnourished children in the 6-month to 5-year age group; the PCGs of malnourished children also had lower educational status. Conclusion: This study found a significant association between PCG depression and child malnutrition.

Background: Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition, previous studies excluded non-maternal primary caregivers (PCGs). It is unclear whether the association between primary caregiver depression and child malnutrition remains when non-maternal PCGs are included. Aim: The aim of this study was to determine if there is an association between PCG depression and malnutrition in children aged between 6 months and 5 years in Mahalapye, Botswana. Setting: The study was conducted in the child welfare clinics of Xhosa and Airstrip clinics, two primary health care facilities in Mahalapye, Botswana. Methods: This was a case control study. Cases were malnourished children aged between 6 months and 5 years, and controls were non-malnourished children matched for age and gender. The outcome of interest was depression in the PCGs of the cases and controls, which was assessed using the Patient Health Questionnaire 9 (PHQ 9), a depression screening tool.Results: From a sample of 171 children, 84 of whom were malnourished, we found that the malnourished children were significantly more likely to have depressed PCGs (odds ratio = 4.33; 95% CI: 1.89, 9.89) than non-malnourished children in the 6-month to 5-year age group; the PCGs of malnourished children also had lower educational status. Conclusion: This study found a significant association between PCG depression and child malnutrition.

BACKGROUND:Oil is the main stay of Nigeria's economy, but most residents in the oil producing communities still depend entirely on the environment for their sustenance; and so likely to have a problem of food security in the event of a deleterious impact on the environment. This study is to examine the effect of a major crude oil spillage on household food security and the nutritional status of under-five children in the affected communities. This oil spillage occurred in May 2000, in Etiama Nembe, a rural communityin Bayelsa State, south-south Nigeria.METHOD:The study was carried out six months after the spill, using cross-sectional, external control group study design, with a semi-structured questionnaire and anthropometry as the study tools. The study participants were chosen using a two-stage cluster sampling technique. The questionnaire assessing food insecurity was administered on an adult woman in each of the chosen households, while the anthropometric measurements were taken for every under-five year child in the household.RESULTS:A total of 592 questionnaires were administered and retrieved in both study communities, while anthropometric measurements of 956 under-five year children were taken There were no significant differences in the age and occupations of the respondents, and in the sizes of their households; although, the respondents in the exposed communities were significantly better educated (p-value < 0.001). There were significant differences in the study groups, in household food security (p-value < 0.000001), and in the prevalence of under-five children with underweight (p-value <0.0001), and wasting (p-value <0.01).CONCLUSIONS:Crude oil spillage can increase household food insecurity and childhood malnutrition in the affected communities. Efforts should always be made to provide food aid to affected communities, irrespective of the cause of the spillage.

BACKGROUND:Oil is the main stay of Nigeria's economy, but most residents in the oil producing communities still depend entirely on the environment for their sustenance; and so likely to have a problem of food security in the event of a deleterious impact on the environment. This study is to examine the effect of a major crude oil spillage on household food security and the nutritional status of under-five children in the affected communities. This oil spillage occurred in May 2000, in Etiama Nembe, a rural communityin Bayelsa State, south-south Nigeria.METHOD:The study was carried out six months after the spill, using cross-sectional, external control group study design, with a semi-structured questionnaire and anthropometry as the study tools. The study participants were chosen using a two-stage cluster sampling technique. The questionnaire assessing food insecurity was administered on an adult woman in each of the chosen households, while the anthropometric measurements were taken for every under-five year child in the household.RESULTS:A total of 592 questionnaires were administered and retrieved in both study communities, while anthropometric measurements of 956 under-five year children were taken There were no significant differences in the age and occupations of the respondents, and in the sizes of their households; although, the respondents in the exposed communities were significantly better educated (p-value < 0.001). There were significant differences in the study groups, in household food security (p-value < 0.000001), and in the prevalence of under-five children with underweight (p-value <0.0001), and wasting (p-value <0.01).CONCLUSIONS:Crude oil spillage can increase household food insecurity and childhood malnutrition in the affected communities. Efforts should always be made to provide food aid to affected communities, irrespective of the cause of the spillage.

Nutritional status and association of demographic characteristics with malnutrition among children less than 24 months in Kwale County, Kenya / Morris Ndemwa

Introduction: malnutrition is an underlying cause of mortality in about half of the cases that occur among children less than five years in developing countries. In Africa including Kenya, this problem may be exacerbated by socio-demographic and socio-economic factors. This study aimed at determining nutritional status and association of demographic characteristics with malnutrition among children aged 1 day to 24 months in Kwale County, Kenya.Methods: a cross-sectional study was done in Mwaluphamba Location, Kwale County, Kenya. Data was collected using a semi-structured questionnaire and administered to 380 randomly selected mothers who had children under the age of two years. Nutrition status was determined using anthropometric measurements. Data was analyzed using descriptive statistics and associations were determined by univariate logistic regression.Results: malnutrition prevalence for children in Kwale was high with 29.2% of the children being stunted and 13.4% being severely stunted. Underweight prevalence was at 20.8% of whom 9.5% were severely underweight. The global acute malnutrition rate was 18.9%. Stunting differed significantly between sex (males 35.1% compared to females 21.7%; p = 0.005). Significant differences were also observed in stunting and underweight due to age (p < 0.005).Conclusion: the prevalence of stunting, underweight and global acute malnutrition rates was high among the children. Male children were associated with a significantly higher prevalence of stunting than the females. The prevalence of underweight and stunting significantly increased with increasing age.

Introduction: malnutrition is an underlying cause of mortality in about half of the cases that occur among children less than five years in developing countries. In Africa including Kenya, this problem may be exacerbated by socio-demographic and socio-economic factors. This study aimed at determining nutritional status and association of demographic characteristics with malnutrition among children aged 1 day to 24 months in Kwale County, Kenya.Methods: a cross-sectional study was done in Mwaluphamba Location, Kwale County, Kenya. Data was collected using a semi-structured questionnaire and administered to 380 randomly selected mothers who had children under the age of two years. Nutrition status was determined using anthropometric measurements. Data was analyzed using descriptive statistics and associations were determined by univariate logistic regression.Results: malnutrition prevalence for children in Kwale was high with 29.2% of the children being stunted and 13.4% being severely stunted. Underweight prevalence was at 20.8% of whom 9.5% were severely underweight. The global acute malnutrition rate was 18.9%. Stunting differed significantly between sex (males 35.1% compared to females 21.7%; p = 0.005). Significant differences were also observed in stunting and underweight due to age (p < 0.005).Conclusion: the prevalence of stunting, underweight and global acute malnutrition rates was high among the children. Male children were associated with a significantly higher prevalence of stunting than the females. The prevalence of underweight and stunting significantly increased with increasing age.

Independent and interactive effects of HIV infection, clinical stage and other comorbidities on survival of children treated for severely malnourished in rural South Africa: A retrospective multi-cohort study / M. Muzigaba